What is Blair Shane's NPI number?

Blair Shane's National Provider Identifier (NPI) is 1104696566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Blair Shane's specialty?

Blair Shane is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Blair Shane located?

Blair Shane's practice location on file with NPPES is 3725 Belfort Rd, Jacksonville, FL 32216-5813.

What is Blair Shane's phone number?

The practice phone number listed in the NPPES registry for Blair Shane is (904) 296-1055.

Is Blair Shane's NPI active?

Yes — Blair Shane's NPI (1104696566) is active in the NPPES registry as of the last update on 2025-02-14.

IndividualActive

Blair Shane

NPI 1104696566 · Mental Health Counselor · Jacksonville, FL

Blair Shane is a Mental Health Counselor provider in Jacksonville, FL (NPI 1104696566).

Provider details

NPI number: 1104696566
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes
License: IMH26957 (FL)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense IMH26957 (FL)
Behavioral Health & Social Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3725 Belfort Rd

Jacksonville, FL 32216-5813

Phone: (904) 296-1055

Street-level locationGet directions

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Mailing address